NEWMAN MEDICAL CENTER PHARMACY INC (NPI# 1366515926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366515926 |
| Entity Type | Organization |
| Organization Name | NEWMAN MEDICAL CENTER PHARMACY INC |
| Other Organization Name | NEWMAN MEDICAL CENTER PHARMACY |
| Practice Address |
905 S Main St Shattuck OK 73858-9205 |
| Practice Telephone | 5809385127 |
| Practice Fax Number | 5809382498 |
| Mailing Telephone | 5809385127 |
| Mailing Fax Number | 5809382498 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | JOHN HERBER (OWNER AND PHARMACIST) |
| Authorized Official Telephone | 5809385127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
755174 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 90003901428 | 05 | |
| PK | 2073251 | 01 |
| Other Name | Type Code |
|---|---|
| NEWMAN MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| Street Address |
905 S MAIN ST |
| City | SHATTUCK |
| State | OK |
| Zip Code | 73858-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617807 | Newman Memorial Hospital, Inc | General Acute Care Hospital | 905 S Main St, Shattuck, OK 73858 | 2005-05-24 |
| 1124661624 | Hcc of Shattuck, LLC | Emergency Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2019-10-28 |
| 1821554734 | Newman Memorial Hospital, Inc | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2019-02-15 |
| 1912478702 | Kristen Leigh Mills | Registered Nurse | 905 S Main St, Shattuck, OK 73858-9208 | 2018-12-06 |
| 1902278286 | Stuart Family Medicine, Pllc. | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2015-10-26 |
| 1790994200 | John David Herber | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2007-05-21 |
| 1730252370 | John Rodney Cully | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2006-11-15 |
| 1316054232 | Newman Physicians' Group, Inc. | Family Medicine | 905 S Main St, Shattuck, OK 73858-9205 | 2006-08-24 |
| 1205817285 | Gary Willis Mitchell | Pharmacist | 905 S Main St, Shattuck, OK 73858-9205 | 2005-11-08 |
| 1881683753 | Newman Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 905 S Main St, Shattuck, OK 73858-9205 | 2005-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083999403 | Shandy Baggs | Nurse Practitioner | 404 S Main, Shattuck, OK 73858 | 2011-10-17 |
| 1730307943 | Robert Bradley Bunch | Registered Nurse | 905 South Main, Shattuck, OK 73858 | 2007-04-23 |
| 1811073208 | Kristen A Burris | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2006-10-27 |
| 1891716775 | Danna K Stuart | Family Medicine | 404 South Main Street, Shattuck, OK 73858 | 2006-07-23 |
| 1164722864 | Foundation Health & Wellness Institute PC | Clinic/Center | 404 S. Main St., Shattuck, OK 73858 | 2010-10-27 |
| 1285801324 | Kristen A Burris, D.d.s. L.L.C. | Dentist | 1515 South Main Street, Shattuck, OK 73858 | 2008-05-08 |
| 1245309095 | Scott Eye Care P L L C | Eyewear Supplier (Equipment, not the service) | 400 S Main St, Shattuck, OK 73858 | 2006-11-07 |
| 1285731596 | Kerie Bay | Pharmacist | 522 South Main Street, Shattuck, OK 73858-0099 | 2006-09-20 |
| 1942203070 | Ellis County Ems | Ambulance | 1201 E 1st, Shattuck, OK 73858-0591 | 2005-05-23 |
| 1407050560 | Jamie L Cameron | Dentist | 1515 S. Main St., Shattuck, OK 73858-0609 | 2007-06-13 |
| Find all providers in zip 73858 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405202 | Integris Prohealth Inc | Pharmacy | 7301 Sw 44th St # F, Oklahoma City, OK 73179-4308 | 2018-01-19 |
| 1770908675 | Creoks Mental Health Services, Inc., Dba Truwellness Rx | Pharmacy | 105 East Ross Avenue, Sapulpa, OK 74066-6423 | 2014-02-28 |
| 1629419726 | Open Arms Clinic | Pharmacy | 5252 N Meridian Ave Ste 101, Oklahoma City, OK 73112-2136 | 2013-07-17 |
| 1699804708 | Great Plains Regional Medical Center | Pharmacy | 825 Sooner Dr., Burns Flat, OK 73624 | 2007-03-05 |
| 1639234057 | Allen Pharmacy Inc | Pharmacy | 521 E Franklin Ave, Weatherford, OK 73096-5337 | 2006-12-26 |
| 1902918915 | Oklahoma County Clinic Phcy | Pharmacy | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2006-08-31 |
| 1730539487 | Good Shepherd Community Clinic, Inc | Pharmacy | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2016-06-14 |
| 1427429687 | Family Health Center of Southern Oklahoma, Inc. | Pharmacy | 610 E 24th St, Tishomingo, OK 73460-3245 | 2015-10-14 |
| 1700268844 | Community Health Connection, Inc. | Pharmacy | 2321 E 3rd St, Tulsa, OK 74104-1831 | 2015-06-25 |
| 1124382585 | Rx Concepts LLC | Pharmacy | 7302 S Yale Ave Ste 101, Tulsa, OK 74136-7027 | 2012-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.